HERITAGE EYE CENTER LC NPI 1205881935

NPI Information

NPI: 1205881935
Provider Name: HERITAGE EYE CENTER LC

Doing Business As: HERITAGE SURGERY CENTER LC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1501-B REDBUD BLVD
MCKINNEY, TX
ZIP 75069
Phone: (972) 548-0771
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HERITAGE EYE CENTER LC is an ambulatory surgical clinic center in Mckinney, TX. HERITAGE EYE CENTER LC NPI is 1205881935. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Surgery Center Lc.

The provider's business location address is:

1501-B REDBUD BLVD
MCKINNEY, TX
ZIP 75069
Phone: (972) 548-0771
Fax: (972) 562-2300

The provider's authorized official is Jennifer Boyd Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5954.

The CLIA number assigned to this NPI record is 45D2297644 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 2/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	000253	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	085907601	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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